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HomeMy WebLinkAboutFRAILEY ROOFING LLC - INSURANCE CERTIFICATE (2)FRAIRnn-01 PAULAW CERTIFICATE OF LIABILITY INSURANCE DATE (MM/019YY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Paula Weeks "C, No, Ext : (303) 762-1717 FAAC, No :(303) 762-1733 Forsberg Engerman Company an affiliate of Mountain West Insurance 8 Financial Services, LLC 3575 S Sherman Street E-MAIL , paulaw@mtnwst.com INSURER 5 AFFORDING COVERAGE NAIC # Englewood, CO 80113 INSURER A: The Cincinnati Specialty Underwriters Insurance Company 13037 INSURED INSURER B: Cincinnati Insurance Company 10677 INSURER C : Pinnacol Assurance 41190 Frailey Roofing LLC INSURERD: 703 Anderson St Castle Rock, CO 80104 INSURER E ,rain f1f1%W=0Ar21=0 Y`CDTICIf'ATC KI1111ADCD• QFVICIr)M All IMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRA TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE X OCCUR CS00055230 2/14/2019 2/14/2020 EACH OCCURRENCE $ 11000,000 DAMAGE TO RENTED 100,000 $ _ MED EXP An one person)$ 5,000 PERSONAL & ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: X POLICY ❑PRO JECT � LOC OTHER GENERAL AGGREGATE 2,000,000 ,000,OOO PRODUCTS - COMP/OP AGG $ Z,000,OOO $ B AUTOMOBILE LIABILITY X ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY ENP 0483534 4/9/2018 4/9/2019 COMBINED SINGLE LIMIT $ 1,000,000 BODILY INJURY Per erson $ BODILY INJURY Per accident PROe de tDAMAGE $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE DED I I RETENTION $ $ C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N ANY F:OPRIETOR/?^.RTN�.7EXECL'TIVC OFFICER/MEMBER EXCLUDED? u (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A 4154890 4/1/2018 4/1/2019 X PER OTH- TE ER C.L CI1l.h nVI.IGEiYI 17000,000 �D _ E.L. DISEASE - EA EMPLOYEE 1,000,000 $ E.L. DISEASE - POLICY LIMIT 1,000,000 $ B Inland Marine ENP 0483534 4/9/2018 4/9/2019 Installation Floater 30,000 DESCRIPTION OF OPERATIONS / LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) City Of Fort Collins P.O. Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD